Individual
MR. EZRA ACHOLONU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-4320
Mailing address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(800) 465-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA5539
MA
363AM0700X
Medical Physician Assistant
Primary
PA5539
MA
Other
Enumeration date
12/03/2015
Last updated
09/18/2020
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